SALLY DAGANZO MD INC NPI 1114774098

NPI Information

  • NPI: 1114774098
  • Provider Name: SALLY DAGANZO, MD INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1050 NORTHGATE DR STE 500
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 249-2580

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NPI Details

SALLY DAGANZO, MD INC is an internal medicine in San Rafael, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SALLY DAGANZO, MD INC NPI is 1114774098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1050 NORTHGATE DR STE 500
SAN RAFAEL, CA
ZIP 94903-542
Phone: (415) 249-2580
Fax: (415) 728-0375

The provider's authorized official is Sally Daganzo .
The authorized official title is Ceo and has the following contact phone number (415) 249-2580.

The enumeration date for this NPI number is 4/30/2024 and was last updated on 4/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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